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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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机器人辅助激进脏切除术的结构化培训课程:德尔菲共识研究

Farshad Sheybaee Moghaddam1, Alireza Ghoreifi1, Rashid K Sayyid1

  • 1Institute of Urology, Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, USA.

BJU international
|September 17, 2025
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概括

这项研究使用国际专家共识开发了机器人辅助激进脏切除术 (RARNU) 的结构化培训计划. 该计划旨在标准化外科教育,并在RARNU学习曲线期间改善患者的结果.

关键词:
一致的共识共识.教育教育教育教育的教育.这是nephroureterectomy的意思.节目 节目 节目 节目 节目机器人技术 机器人工程 机器人工程

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科学领域:

  • 泌尿器科 泌尿器科 泌尿器科 泌尿器科
  • 外科教育的外科教育
  • 机器人手术 机器人手术

背景情况:

  • 机器人辅助彻底瘤切除术 (RARNU) 是一个复杂的手术.
  • 标准化培训对于提高外科手术能力和患者的治疗结果至关重要.
  • 现有的RARNU培训计划缺乏国际验证和结构.

研究的目的:

  • 为RARNU开发和验证一个国际公认的,结构化的培训计划.
  • 建立有关RARNU培训的基本组成部分和评估方法的专家共识.
  • 为指导外科教育者和实习生掌握RARNU程序.

主要方法:

  • 一种经过修改的Delphi方法与30名国际上道泌尿道癌专家一起使用.
  • 一个RARNU特定的问卷被开发出来,并根据验证的工具进行了调整.
  • 为了达成共识 (定义为≥80%的同意),采用了两轮专家反.

主要成果:

  • 在德尔菲轮试验中,获得了高响应率 (80%和92%).
  • 专家们一致认为,一个标准化的课程对于RARNU学习曲线的重要性.
  • 定义了越来越复杂的五个临床模块,达成≥96%的同意.
  • 在评估上达成一致的协议,重点是状解剖,尿道解剖和膀袖口切除.

结论:

  • 本研究提出了基于国际专家共识的RARNU第一个结构化的培训课程.
  • 开发的课程为指导外科教育者和实习生提供了一个框架.
  • 预计该计划的实施将促进RARNU的独立完成,并加强患者护理.